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Any congenital hereditary facial paralysis-variable hearing loss syndrome in which the cause of the disease is a mutation in the HOXB1 gene.
Features include always present findings: Impaired mastication, Facial palsy, Tented upper lip vermilion, and Anteverted nares and others; and common findings: Epicanthus, Broad forehead, Short philtrum, and Micrognathia. 27 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 4 | Difficulty swallowing (dysphagia), Delayed speech and language development, Dysarthria |
HOXB1 encodes homeobox B1 (301 aa). Sequence-specific transcription factor which is part of a developmental regulatory system that provides cells with specific positional identities on the anterior-posterior axis. Highest expression in Testis (0.8 TPM) and Esophagus Mucosa (0.5 TPM).
Facial paresis, hereditary congenital, 3 is associated with mutations in the HOXB1 gene on chromosome 17.
The HOXB1 protein participates in HOXB1 maintains activation of HOXB1 chromatin, HOXB1 gene is transcribed, and HOXB1 activates HOXA2 expression pathways.
HOXB1 is classified as a druggable target (Transcription Factor category) with score 10.4.
Genetic testing for HOXB1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 17 always present features, 4 common features.
No clinical trials have been registered for facial paresis, hereditary congenital, 3.
3 publications have been identified in PubMed for facial paresis, hereditary congenital, 3. Research spans Review / Meta-Analysis (33%), Basic Science / Preclinical (33%), and Epidemiology / Natural History (33%).
Almpani K (2026). [PMID: 40611650](https://pubmed.ncbi.nlm.nih.gov/40611650/). *Cleft Palate Craniofac J*. [Basic Science / Preclinical]
Webb BD (2025). [PMID: 40662098](https://pubmed.ncbi.nlm.nih.gov/40662098/). *Genet Med Open*. [Review / Meta-Analysis]
Liberton DK (2024). [PMID: 38791829](https://pubmed.ncbi.nlm.nih.gov/38791829/). *Int J Environ Res Public Health*. [Epidemiology / Natural History]
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 2:51 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Head and neck |
3 |
Facial palsy, Tented upper lip vermilion, High palate |
Digestive system | 2 | Difficulty swallowing (dysphagia), Feeding difficulties |
Eyes | 1 | Unilateral ptosis |
Muscles | 1 | Myopathic facies |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |